Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $110.49 / $110.49	Facility		$110.49	$110.49	$110.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $79.41 / $110.49	Professional		$56.42	$79.41	$110.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $42.05 / $401.79	Professional		$42.05	$42.05	$401.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $214.82 / $329.54	Facility		$183.83	$214.82	$329.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $162.41 / $311.83	Professional		$53.14	$162.41	$311.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.22 / $86.69 / $154.69	Facility		$58.22	$86.69	$154.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $87.90 / $165.17	Facility		$62.73	$87.90	$165.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $58.77 / $629.27	Professional		$37.85	$58.77	$629.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $317.77	Professional		$50.00	$65.00	$317.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $86.69 / $154.69	Facility		$61.31	$86.69	$154.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $203.35 / $316.29	Professional		$129.00	$203.35	$316.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $426.26 / $426.26	Facility		$106.62	$426.26	$426.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $489.75 / $629.27	Professional		$54.38	$489.75	$629.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $328.32 / $328.32 / $328.32	Professional		$328.32	$328.32	$328.32
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $57.61 / $137.13	Professional		$39.45	$57.61	$137.13